IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v17y2020i22p8629-d448538.html
   My bibliography  Save this article

Early Childhood Junk Food Consumption, Severe Dental Caries, and Undernutrition: A Mixed-Methods Study from Mumbai, India

Author

Listed:
  • Priyanka Athavale

    (School of Public Health, University of California, Berkeley, CA 94704, USA
    School of Medicine, University of California, San Francisco, CA 94143, USA)

  • Nehaa Khadka

    (School of Public Health, University of California, Berkeley, CA 94704, USA
    Fielding School of Public Health, Department of Epidemiology, University of California, Los Angeles, CA 90095, USA)

  • Shampa Roy

    (School of Public Health, University of California, Berkeley, CA 94704, USA)

  • Piyasree Mukherjee

    (Swasti Health Catalyst, Mumbai 560094, India)

  • Deepika Chandra Mohan

    (School of Public Health, University of California, Berkeley, CA 94704, USA)

  • Bathsheba (Bethy) Turton

    (University of Puthisastra, Phnom Penh 12211, Cambodia)

  • Karen Sokal-Gutierrez

    (School of Public Health, University of California, Berkeley, CA 94704, USA)

Abstract

In India, globalization has caused a nutrition transition from home-cooked foods to processed sugary snacks and drinks, contributing to increased early childhood caries (ECC). This mixed-methods study describes risk factors for ECC and associations with undernutrition in low-income communities in Mumbai. Interviews with mothers of 959 children, ages six-months through six-years, addressed maternal-child nutrition and oral health, and children received dental exams and anthropometric assessments. Focus groups with community health workers and mothers explored experiences and perceptions of oral health, nutrition, and ECC. Descriptive and logistic regression analyses of quantitative data, and content analysis of qualitative data were performed. Eighty percent of children lived 5 min from a junk-food store, over 50% consumed junk-food and sugary tea daily, 50% experienced ECC, 19% had severe deep tooth decay, 27% experienced mouth pain, and 56% experienced chronic and/or acute malnutrition. In children ages 3–6, each additional tooth with deep decay was associated with increased odds of undernutrition (Odds Ratio [OR] 1.10, Confidence Interval [CI] 1.02–1.21). Focus groups identified the junk-food environment, busy family life, and limited dental care as contributors to ECC. Policy interventions include limits on junk-food marketing and incorporating oral health services and counseling on junk-food/sugary drinks into maternal–child health programs.

Suggested Citation

  • Priyanka Athavale & Nehaa Khadka & Shampa Roy & Piyasree Mukherjee & Deepika Chandra Mohan & Bathsheba (Bethy) Turton & Karen Sokal-Gutierrez, 2020. "Early Childhood Junk Food Consumption, Severe Dental Caries, and Undernutrition: A Mixed-Methods Study from Mumbai, India," IJERPH, MDPI, vol. 17(22), pages 1-17, November.
  • Handle: RePEc:gam:jijerp:v:17:y:2020:i:22:p:8629-:d:448538
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/17/22/8629/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/17/22/8629/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Khanh, L.N. & Ivey, S.L. & Sokal-Gutierrez, K. & Barkan, H. & Ngo, K.M. & Hoang, H.T. & Vuong, I. & Thai, N., 2015. "Early childhood caries, mouth pain, and nutritional threats in Vietnam," American Journal of Public Health, American Public Health Association, vol. 105(12), pages 2510-2517.
    2. Marvin So & Yianni A. Ellenikiotis & Hannah M. Husby & Cecilia Leonor Paz & Brittany Seymour & Karen Sokal-Gutierrez, 2017. "Early Childhood Dental Caries, Mouth Pain, and Malnutrition in the Ecuadorian Amazon Region," IJERPH, MDPI, vol. 14(5), pages 1-12, May.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Martin Samohyl & Jana Babjakova & Diana Vondrova & Jana Jurkovicova & Juraj Stofko & Branislav Kollar & Katarina Hirosova & Alexandra Filova & Lubica Argalasova, 2021. "Factors Associated with Non-Attendance at Dental Preventive Care in Slovak High School Students," IJERPH, MDPI, vol. 18(3), pages 1-12, February.
    2. Huay Woon You, 2022. "Modelling Analysis on Dietary Patterns and Oral Health Status among Adolescents," IJERPH, MDPI, vol. 19(22), pages 1-9, November.
    3. Bharathi Chinnakotla & Sita Manasa Susarla & Deepika Chandra Mohan & Bathsheba Turton & Hannah M. Husby & Cecilia Paz Morales & Karen Sokal-Gutierrez, 2022. "Associations between Maternal Education and Child Nutrition and Oral Health in an Indigenous Population in Ecuador," IJERPH, MDPI, vol. 20(1), pages 1-14, December.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Chloe Tsang & Karen Sokal-Gutierrez & Priya Patel & Brett Lewis & Debbie Huang & Kristina Ronsin & Ashmita Baral & Aparna Bhatta & Nehaa Khadka & Howard Barkan & Sidhanta Gurung, 2019. "Early Childhood Oral Health and Nutrition in Urban and Rural Nepal," IJERPH, MDPI, vol. 16(14), pages 1-11, July.
    2. Neha Zahid & Nehaa Khadka & Madhurima Ganguly & Tanya Varimezova & Bathsheba Turton & Laura Spero & Karen Sokal-Gutierrez, 2020. "Associations between Child Snack and Beverage Consumption, Severe Dental Caries, and Malnutrition in Nepal," IJERPH, MDPI, vol. 17(21), pages 1-13, October.
    3. Eleonor Vélez-León & Alberto Albaladejo & Katherine Cuenca-León & Magaly Jiménez-Romero & Ana Armas-Vega & María Melo, 2022. "Prevalence of Caries According to the ICDAS II in Children from 6 and 12 Years of Age from Southern Ecuadorian Regions," IJERPH, MDPI, vol. 19(12), pages 1-10, June.
    4. Madiha Yousaf & Tahir Aslam & Sidra Saeed & Azza Sarfraz & Zouina Sarfraz & Ivan Cherrez-Ojeda, 2022. "Individual, Family, and Socioeconomic Contributors to Dental Caries in Children from Low- and Middle-Income Countries," IJERPH, MDPI, vol. 19(12), pages 1-26, June.
    5. Anqi Shen & Eduardo Bernabé & Wael Sabbah, 2019. "The bidirectional relationship between weight, height and dental caries among preschool children in China," PLOS ONE, Public Library of Science, vol. 14(4), pages 1-13, April.
    6. Ha Van Hung & Vo Truong Nhu Ngoc & Hue Vu Thi & Dinh-Toi Chu, 2021. "Early Childhood Caries in Obese Children: The Status and Associated Factors in the Suburban Areas in Hanoi, Vietnam," IJERPH, MDPI, vol. 18(16), pages 1-8, August.
    7. Duangporn Duangthip & Kitty Jieyi Chen & Sherry Shiqian Gao & Edward Chin Man Lo & Chun Hung Chu, 2017. "Managing Early Childhood Caries with Atraumatic Restorative Treatment and Topical Silver and Fluoride Agents," IJERPH, MDPI, vol. 14(10), pages 1-13, October.
    8. Amy H. Park & Rachel J. Kulchar & Sita Manasa Susarla & Bathsheba Turton & Karen Sokal-Gutierrez, 2023. "Fewer Children in Families Associated with Lower Odds of Early Childhood Caries: A Sample from Three Countries," IJERPH, MDPI, vol. 20(3), pages 1-14, January.
    9. Marvin So & Yianni A. Ellenikiotis & Hannah M. Husby & Cecilia Leonor Paz & Brittany Seymour & Karen Sokal-Gutierrez, 2017. "Early Childhood Dental Caries, Mouth Pain, and Malnutrition in the Ecuadorian Amazon Region," IJERPH, MDPI, vol. 14(5), pages 1-12, May.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:17:y:2020:i:22:p:8629-:d:448538. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.